Standardization of Resources for Musculoskeletal Trauma Care in Serbia Zoran Vukasinovic Dusko Spasovski Zorica Zivkovic

Human Resources Standardization Musculoskeletal trauma has to be treated primarily by orthopaedic surgeons Three orthopaedic surgeons for urgent musculoskeletal trauma per each general hospital on 24h on-call rotation Still far from implementation in Serbia!

Space Standardization Dedicated orthopaedic department of various size in each general hospital Dedicated ortopaedic operating theatre Still far from implementation in Serbia!

Equipment Standardization Orthopaedic beds with frames –Mobility aids –Suspension/traction Modern instrumentation and material –Fracture-fixation implants –Joint replacement prostheses –Bone cement and bone graft substitutes –Hand and power instruments –Splinting and casting equipment Still not adequate in Serbia!

Health management standards Medical information management –Informatical infrastructure –Accessible electronic medical records system Best practice guidelines for musculoskeletal trauma Still not adequate in Serbia!

Health management standards Quality standards for hospitals: –Regarding the health care level of hospital –Regardless of hospital location Medical health management policy –Defining the type or extent of injury to be treated on each health care level: Municipal hospital District hospital Regional hospital Still far from implementation in Serbia!